Nursing · NCLEX-RN

NCLEX Mental Health

Psychiatric nursing: defense mechanisms, therapeutic communication techniques, and major disorder presentations.

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What is projection as a defense mechanism?
Attributing one's own unacceptable thoughts or feelings to another person
What is rationalization?
Creating logical-sounding but false explanations for one's own behavior or choices
Define denial as a defense mechanism.
Refusing to acknowledge a painful, threatening, or conflicting reality
What is displacement?
Transferring emotions from the original object or person to a safer substitute target
What is sublimation?
Channeling unacceptable impulses or emotions into socially acceptable activities
What is regression as a defense mechanism?
Returning to an earlier stage of psychosocial development when stressed or threatened
Define repression.
Unconsciously pushing threatening memories or impulses into the unconscious mind
What is intellectualization?
Using logic, analysis, and abstract thinking to avoid experiencing and discussing emotions
What is active listening in nursing?
Fully focusing on the client, observing verbal and nonverbal cues, and reflecting back without interruption
What are open-ended questions in therapeutic communication?
Questions that cannot be answered with yes or no, encouraging the client to elaborate and express thoughts
What is reflection in therapeutic communication?
Restating the emotional content of what the client expressed to demonstrate understanding and empathy
What is summarization in nursing communication?
Briefly reviewing the key points of a conversation to clarify and ensure mutual understanding
What is validation in therapeutic communication?
Acknowledging that the client's feelings, concerns, or experiences are understandable or reasonable
What is therapeutic confrontation?
Gently pointing out a discrepancy between what the client says and does to promote insight and awareness
What is the therapeutic use of silence?
Allowing comfortable pauses in conversation to give the client time to think, process, and respond without pressure

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